Vermont Registration Tax & Title Application
802.828.2000
dmv.vermont.gov

DEPARTMENT OF MOTOR VEHICLESAgency of Transportation

Former Name

Name of Primary Registrant (Last, First, Middle, or Business Name)SECTION 1

License Number or FEIN

Date of Birth

Gender

EmailPhone

Mailing Address

City

State

ZIP

Country

Physical Address

City

State

ZIP

CountryVT
See instructions for additional owners

Name of  Co-Owner or  Lessor (if lessor skip to address line)

License Number or FEIN

Date of Birth

GenderPhone
CityState New  Used Rebuilt

Serial Number (VIN)

Body StyleFuel TypeCylinders

USA

Former Name

EmailMailing Address

Color 1

Color 2

 Mobile  Home  Work

ZIPYearCountryMake

Brake Type (truck)

Number of Passengers (jitney)

ModelWheels (MTC & ATV) HYD  Air  Other
Empty Weight (truck, trailer & jitney)

3

Axles (truck)

Relationship ofowner & co-owner

4

SECTION 2

 Mobile  Home  Work

Odometer reading (no tenths)

 Spouses

Loaded Weight (truck & trailer) Joint Tenants

Length (trailers) Feet & Inches Tenants in Common

Width (trailers) Feet & Inches Business Partners

Power (MTC & ATV) cc’s #_______  kWh #_______

 Transfer on Death (requires form VT-007)

 Reflects the actual mileage.  Reflects the mileage in excess of theodometer’s mechanical limits.  Is not the actual mileage
Date of Loan

5

Lienholder Name (if none, write NONE)
Lienholder Address
Date Purchased

VT Dealer Number

Temporary Plate #6

Name of person or company vehicle purchased from New Registration  Replacement Reg

 IRP Tax & Title Current Plate # Renew

 Title Only

 Weight Change Transfer

 OtherPurchase Price

SECTION 8Seller Signature

Credit for TradeJD Power Value
Adjustments

Registration/Plate TypePurchaser of old vehicle

Registration/TransferCityYear

StateMake

Plate #Date of Sale

$VIN

Taxable AmountTax

I hereby affirm, under penalty of perjury of the laws of the State of Vermont, that the information on this form is true and correct. This declaration madeunder penalties of 23 V.S.A. § 202 & § 4110.The owner certifies that this vehicle 1) is properly equipped and in good mechanical condition; 2) was placed
into use on or before the date this application was signed; 3) currently has liability insurance in effect as required by 23 V.S.A. §800 (a). If transfer of plates,
the owner and/or this vehicle are not under suspension pursuant to 23 V,S,A, §3009(b). As the applicant for registration of a commercial motor vehicle, I
hereby declare that I have knowledge of the Federal Motor Carrier Safety Regulations, Title 49 of the Code of Federal Regulations, as adopted by theState of Vermont.

Signature of Owner

XVD-119 07/2024 MTCRegistration Term Car Truck 1 Year Trailer  Motorcycle  2 Years
 ________________
 5 Years (trailers & municipal)

SECTION 97

Address of seller

Date Signed

Signature of Co-Owner/Lessor

Title
Warranty
Fuel User
OtherTotal

Date Signed

If submitting by mail, send to Vermont DMV, 120 State Street, Montpelier, VT 05603. For more detailed instructions, see DMV form# VD119i.

Section 1
Enter all names and contact information. A physical address is required if the mailing address is a PO Box or Private Mailbox (i.e., UPS Store). To add
additional owners (more than two owners or owned or more than one for leased), complete and include them from VT-012.

Section 2
VIN Verification is required (using DMV form VT-010) for•
Vehicles with Salvage Documentation from any state, including
Vermont.
•Vehicles being titled under bond.
•Vehicles with registrations from any foreign country, including
Canada.
Trucks (including pick-up trucks) must include•
Number of Axles•
Brake Type•
Empty Weight (curb)•Loaded Weight (GVW)

Trailers must include•
Empty Weight•
Length (in feet & inches)•Width (in feet & inches)
Motorcycles & ATVs must include•
Cylinders•Number of Wheels•Power•
Power TypeSection 3•••••

Tenants by the Entirety/Spouses (TEN ENT) - Married couples (including Civil Unions), where property ownership is treated as though the couple
was a single legal person. Owners have a right of survivorship; if one owner dies, interest in the property will pass to the surviving owner
avoiding probate.
Joint Tenants (JTEN) - Co-owners have a right of survivorship; if one owner dies, interest in the property will pass to the surviving owner
avoiding probate.
Tenants in Common (TEN COM) - No right of survivorship; if one owner dies, interest in the property will be part of their estate.
Business Partners (PTNERS) - No right of survivorship; if one owner dies, interest in the property will be part of their estate.
Transfer on Death (TOD) – One owner only, DMV form VT-007 required.

Section 4
Enter the current odometer reading. A separate odometer disclosure statement is required if the vehicle is model year 2011 or newer.

Section 5
If the vehicle is financed, enter the lienholder information. If there is no loan, write “None.”

Section 6
Enter the seller details. The seller's signature is only required if no other bill of sale exists.

Section 7
Indicate the transaction type. If there is a current Vermont registration, enter the plate number. For new registrations, enter the desired plate type. Available
plate types include (additional form may be required for some)
••
•
••
•
•
•
•
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Agriculture (Farm Use)
Air MedalAmateur RadioAmerican LegionAntiqueATVBronze Star
Building Bright Futures
Conservation
DisabledEMSExhibitionSection 8•••••••••••
•
•
•
•
•

Firefighter
FreemasonsGold Star Family
Jitney/Rental
Lions Club
Motor Bus
Motor Driven Cycle(moped)
Motor Home
Municipal
National Guard
Off-Highway Tractor••
•••
•
•
•
•
•
•
•

Pearl Harbor
POWPurple HeartRotary
School Bus
Sheriff
Special Purpose Truck I
Special Purpose Truck II
StateStreet Rod
Transporter
Veteran

••
•
•
•
•
•
•
•
•
•

Veteran, Afghanistan
Veteran, Disabled
Veteran, Gulf War
Veteran, Iraq
Veteran, Korea
Veteran, Motorcycle
Veteran, Vietnam
Veteran, World War IIVFWVolunteer
VVA

Purchase Price - Amount paid for the vehicle.
Credit for Trade - Amount the previous vehicle was sold for, to include trade value at dealer or private sale.
JD Power Value – Unless sold by a Vermont Dealer or Licensed Out-of-State Dealer, tax is due on JD Power value. Visit mydmv.vermont.gov to
obtain the current JD Power value.
Purchaser Information – if claiming trade credit, include details on the sale of the previous vehicle.
ATV - If an ATV is purchased from a Dealer or Vermont-registered business, you must submit proof of tax paid. No tax is due if an ATV is purchasedin a casual sale (person to person).